Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of acute febrile illness, rigors, and malaise, following recent gastrointestinal symptoms including non-bloody diarrhea, abdominal cramping, and nausea. Symptoms suggestive of systemic dissemination, including persistent high-grade fevers and focal signs of infection. Recent history of consumption of undercooked poultry or eggs noted.
Clinical Examination Findings
Patient appears acutely ill and febrile. Vitals: T [temp], HR [rate], BP [pressure]. Abdominal exam: diffuse tenderness, hyperactive bowel sounds, no rebound or guarding. Skin: no evidence of rose spots. Cardiovascular: tachycardia present, no murmurs. Lymphatic: mild generalized lymphadenopathy may be present.
Treatment Protocol
Initiate empiric intravenous antibiotic therapy (e.g., Ceftriaxone or Fluoroquinolones) pending blood culture sensitivity results. Maintain aggressive fluid resuscitation and electrolyte correction. Monitor for signs of metastatic infection (e.g., endovascular, osteoarticular). Duration of therapy: 7-14 days for uncomplicated bacteremia, longer if focal infection is present.